Individual provider Active NPI

Daniel Dume-Charles, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1578588182
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
220943-1 Issued in NY
Practice address
9602 Avenue L
Brooklyn, NY 11236-4813
Phone
(718) 444-0437
Fax
(718) 763-1267
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 220943-1 NY Primary

Addresses

Primary practice location

9602 Avenue L
Brooklyn, NY 11236-4813

Mailing address

842 Van Buren St
Baldwin, NY 11510-4652
Phone (718) 444-0437

Other identifiers 1

IdentifierTypeStateIssuer
02389297MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000848 NY Practitioner - Family Practice 8224001904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220943-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Family Care Center, Inc. Family Medicine Past Accepting new patients
Doshi Diagnostic Imaging Services PC Past Accepting new patients
Brookdale Hospital Medical Center Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGBBD/Endpoint/EHGBBD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1578588182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 VAN BUREN ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104652",
            "telephone_number": "718-444-0437",
            "fax_number": "718-763-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364813",
            "telephone_number": "718-444-0437",
            "fax_number": "718-763-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUME-CHARLES",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "220943-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02389297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.